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Event Reservation Form



*Department/Organization/Company Name
*Event Contact Person:
Mailing Address:
Work Phone:
Cell Phone
* Email:
Event Name:
Type of Event:
Event Date:
Event Start Time:
Event End Time:
Set-up Date & Time:
Tear-down Date & Time:
Estimated Headcount:
Cost of Admission:
Facility Requested, First Choice:
Facility Requested, Second Choice:

How would you like the room or space set up?

What are your parking needs?


What type of connections will your device have?

What type of AV Equipment will your event require?


In the space provided below, please briefly indicate any special equipment needs not covered in the above list.

I require lodging for my event.

I will have entertainment at my event. If so, please explain:

I will have a speaker, or multiple speakers. If so, please explain:

I need food/catering for my event. Please indicate what type of catering you would like: